Transitions of Care Advanced Practice Provider (NP or PA)

What you'll do

• Conduct comprehensive post-discharge visits, including assessment, medication reconciliation, treatment planning, orders, education, and escalation guidance.
• Assess and manage new or worsening symptoms, determine appropriate care levels, and adjust patients’ care plans throughout the 30-day period.
• Collaborate with interdisciplinary teams and contribute to team culture, clinical education, quality improvement, and EHR feedback.

What they ask for

• 5+ years of direct patient care, primarily with geriatric populations with multiple chronic, complex comorbidities across acute and chronic presentations.
• Demonstrated ability in both acute management of chronic illness and longitudinal outpatient chronic-disease management.
• Active RN and APRN licenses in good standing, or an active Physician Assistant license in good standing; willingness and ability to obtain licenses in required states within 90 days of hire.
• Ability to work full-time, five 8-hour days per week, Monday–Friday, 8:30 AM–5:00 PM.

Nice to have

• Experience in internal medicine, urgent care, emergency room, hospital medicine, post-acute medicine, and/or geriatrics; telehealth video visits; or post-transition care.
• Experience managing acute/chronic disease exacerbations, including CHF, diabetes, COPD, and hypertension emergencies.

Pay

$120,000-$150,000/year USD base salary; $130,000-$170,000/year USD total compensation